Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic.

Abstract:

BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons. OBJECTIVE:To study the pain characteristics of older patients presenting to a tertiary pain clinic for the first time. METHODS:Age, sex and relative contributions of biomedical versus psychosocial variables contributing to chronic pain were investigated in patients 65 years of age and older, in comparison with younger patients, from a sample of 1242 consecutive new patients attending a tertiary care pain clinic. The presence of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision somatoform pain disorders were defined, using an explicated method of ascertaining the biomedical and psychological variables underlying the pain complaints. RESULTS:The older patients (14.7% of the total sample) had relatively more physical problems (concordant with their complaints) but fewer psychological factors contributing to disability than the younger pain patients. Musculoskeletal and neuropathic disorders affected 40.7% and 35.2% of the older patients, respectively, while several patients had more than one painful disorder. Musculoskeletal problems were more prevalent in the women, and neuropathic problems were more prevalent in the men. CONCLUSIONS:The older pain patients are a distinct group. Factors affecting the delayed presentation of older pain patients to the pain clinic and limitations of the present study are discussed.

journal_name

Pain Res Manag

authors

Mailis-Gagnon A,Nicholson K,Yegneswaran B,Zurowski M

doi

10.1155/2008/541963

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

389-94

issue

5

eissn

1203-6765

issn

1918-1523

journal_volume

13

pub_type

杂志文章
  • Incidence of Delirium in Critically Ill Cancer Patients.

    abstract:Objective:The aim of this study was to estimate the incidence of delirium and its risk factors among critically ill cancer patients in an intensive care unit (ICU). Materials and Methods:This is a prospective cohort study. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was measured daily at morn...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2018/4193275

    authors: Sánchez-Hurtado LA,Hernández-Sánchez N,Del Moral-Armengol M,Guevara-García H,García-Guillén FJ,Herrera-Gómez Á,Ñamendys-Silva SA

    更新日期:2018-07-08 00:00:00

  • The antiallodynic action of pregabalin may depend on the suppression of spinal neuronal hyperexcitability in rats with spared nerve injury.

    abstract:BACKGROUND:Pregabalin (PGB) is a novel antiepileptic drug and is also used as a first-line medication for the treatment of neuropathic pain. However, the mechanisms of its analgesic effects remain largely unknown. OBJECTIVES:To elucidate the mechanisms underlying the antiallodynic action of PGB in rats with neuropathi...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2014/623830

    authors: Ding L,Cai J,Guo XY,Meng XL,Xing GG

    更新日期:2014-07-01 00:00:00

  • Prediction of adaptive self-regulatory responses to arthritis pain anxiety in exercising adults: does pain acceptance matter?

    abstract:BACKGROUND:Exercising for ≥ 150 min/week is a recommended strategy for self-managing arthritis. However, exercise nonadherence is a problem. Arthritis pain anxiety may interfere with regular exercise. According to the fear-avoidance model, individuals may confront their pain anxiety by using adaptive self-regulatory re...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2015/853961

    authors: Cary MA,Gyurcsik NC,Brawley LR

    更新日期:2015-03-01 00:00:00

  • Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear.

    abstract::Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral H...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2017/5491923

    authors: Wright CD,McNeil DW,Edwards CB,Crout RJ,Neiswanger K,Shaffer JR,Marazita ML

    更新日期:2017-01-01 00:00:00

  • Nursing-Related Barriers to Children's Pain Management at Selected Hospitals in Ghana: A Descriptive Qualitative Study.

    abstract::Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children's pain management. These studies have mainly been undertaken in developed countr...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2020/7125060

    authors: Kusi Amponsah A,Kyei EF,Agyemang JB,Boakye H,Kyei-Dompim J,Ahoto CK,Oduro E

    更新日期:2020-01-20 00:00:00

  • Peripheral interleukin-1ß levels are elevated in chronic tension-type headache patients.

    abstract:BACKGROUND:Tension-type headache is the most common form of headache and its chronic form, chronic tension-type headache (CTTH), is one of the most difficult to treat. The etiology of CTTH is not well understood, but is believed to be multifactorial and to vary among individuals. In the present study, the authors sough...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2013/796161

    authors: Della Vedova C,Cathcart S,Dohnalek A,Lee V,Hutchinson MR,Immink MA,Hayball J

    更新日期:2013-11-01 00:00:00

  • Prevalence of Chronic Pain, Treatments, Perception, and Interference on Life Activities: Brazilian Population-Based Survey.

    abstract:BACKGROUND AND OBJECTIVES:Chronic pain affects between 30% and 50% of the world population. Our objective was to estimate the prevalence of chronic pain in Brazil, describe and compare differences between pain types and characteristics, and identify the types of therapies adopted and the impact of pain on daily life. ...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2017/4643830

    authors: de Souza JB,Grossmann E,Perissinotti DMN,de Oliveira Junior JO,da Fonseca PRB,Posso IP

    更新日期:2017-01-01 00:00:00

  • Potential Nociceptive Regulatory Effect of Probiotic Lactobacillus rhamnosus PB01 (DSM 14870) on Mechanical Sensitivity in Diet-Induced Obesity Model.

    abstract::Treatments for obesity have been shown to reduce pain secondary to weight loss. Intestinal microbiota, as an endogenous factor, influences obesity and pain sensitivity but the effect of oral probiotic supplementation on musculoskeletal pain perception has not been studied systematically. The present study examined the...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2016/5080438

    authors: Dardmeh F,Nielsen HI,Alipour H,Kjærgaard B,Brandsborg E,Gazerani P

    更新日期:2016-01-01 00:00:00

  • Perceived cognitive deficits, emotional distress and disability following whiplash injury.

    abstract:OBJECTIVES:To describe the pattern of perceived cognitive deficits in patients with whiplash injury, to examine the relation between perceived cognitive deficits and disability, and to examine the determinants of perceived cognitive deficits in patients with whiplash injury. PARTICIPANTS:A total of 81 individuals part...

    journal_title:Pain research & management

    pub_type: 临床试验,杂志文章

    doi:10.1155/2002/502984

    authors: Sullivan MJ,Hall E,Bartolacci R,Sullivan ME,Adams H

    更新日期:2002-10-01 00:00:00

  • Pain Behaviour Scale (PaBS): An Exploratory Study of Reliability and Construct Validity in a Chronic Low Back Pain Population.

    abstract:Objectives:To examine the interrater and intrarater reliability and construct validity of the Pain Behaviour Scale during standard physical performance tests in people with chronic low back pain and to confirm the test-retest reliability of the physical performance tests in this population. The Pain Behaviour Scale (Pa...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2019/2508019

    authors: Alamam DM,Leaver A,Moloney N,Alsobayel HI,Alashaikh G,Mackey MG

    更新日期:2019-02-03 00:00:00

  • The Chronic Pain Myth Scale: Development and Validation of a French-Canadian Instrument Measuring Knowledge, Beliefs, and Attitudes of People in the Community towards Chronic Pain.

    abstract::Background. In order to better design awareness programs on chronic pain (CP), measurement of knowledge, beliefs, and attitudes of people in the community towards this condition is most useful. Objectives. To develop and validate a French-Canadian scale that could be used for this purpose. Methods. Items of the Chroni...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2016/5940206

    authors: Lacasse A,Connelly JA,Choinière M

    更新日期:2016-01-01 00:00:00

  • Unrelieved pain: a crisis.

    abstract::Despite many recent advances in the past 40 years in the understanding of pain mechanisms, and in pain diagnosis and management, considerable gaps in knowledge remain, with chronic pain present in epidemic proportions in most countries. It is often unrelieved and is associated with significant socioeconomic burdens. S...

    journal_title:Pain research & management

    pub_type: 杂志文章,评审

    doi:10.1155/2011/513423

    authors: Sessle B

    更新日期:2011-11-01 00:00:00

  • Comparison of Different Histone Deacetylase Inhibitors in Attenuating Inflammatory Pain in Rats.

    abstract::Histone deacetylase inhibitors (HDACIs), which interfere with the epigenetic process of histone acetylation, have shown analgesic effects in animal models of persistent pain. The HDAC family comprises 18 genes; however, the different effects of distinct classes of HDACIs on pain relief remain unclear. The aim of this ...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2019/1648919

    authors: Mao Y,Zhou J,Liu X,Gu E,Zhang Z,Tao W

    更新日期:2019-01-27 00:00:00

  • The 27-item coping strategies questionnaire-revised: confirmatory factor analysis, reliability and validity in Italian-speaking subjects with chronic pain.

    abstract:BACKGROUND:Increasing attention is being devoted to cognitive-behavioural measures to improve interventions for chronic pain. OBJECTIVE:To develop an Italian version of the Coping Strategies Questionnaire - Revised (CSQ-R), and to validate it in a study involving 345 Italian subjects with chronic pain. METHODS:The qu...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2014/956828

    authors: Monticone M,Ferrante S,Giorgi I,Galandra C,Rocca B,Foti C

    更新日期:2014-05-01 00:00:00

  • OPN Deficiency Increases the Severity of Osteoarthritis Associated with Aberrant Chondrocyte Senescence and Apoptosis and Upregulates the Expression of Osteoarthritis-Associated Genes.

    abstract:Objectives:A recent work has reported that the elevated osteopontin (OPN) levels in the articular cartilage and synovial fluid are correlated with the progressive osteoarthritis (OA) joint damage, and OPN has a protective effect against OA by suppressing the expressions of OA-associated genes. The present study examine...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2020/3428587

    authors: Tian J,Cheng C,Kuang SD,Su C,Zhao X,Xiong YL,Li YS,Gao SG

    更新日期:2020-10-22 00:00:00

  • Knowledge and Attitude towards Pain Management among Nurses Working at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.

    abstract::Introduction. Pain is unpleasant sensory and emotional experience associated with actual and potential tissue damage. Inadequate pain management has been shown to affect patient outcomes by potentially increasing hospital stay and delaying recovery; thus, the management of pain has major implications for nursing. The ...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2020/6036575

    authors: Liyew B,Dejen Tilahun A,Habtie Bayu N,Kassew T

    更新日期:2020-03-18 00:00:00

  • Navigating Uncertainty: Health Professionals' Knowledge, Skill, and Confidence in Assessing and Managing Pain in Children with Profound Cognitive Impairment.

    abstract::There is limited evidence to underpin the assessment and management of pain in children with profound cognitive impairment and these children are vulnerable to poor pain assessment and management. Health professionals working with children with profound cognitive impairment from a single paediatric tertiary referral c...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2016/8617182

    authors: Carter B,Simons J,Bray L,Arnott J

    更新日期:2016-01-01 00:00:00

  • Comparison of Early Effectiveness of Three Different Intervention Methods in Patients with Chronic Orofacial Pain: A Randomized, Controlled Clinical Trial.

    abstract:Background:Occlusal appliances are still widely used instruments in the management of orofacial pain in dentistry, yet alone or as a part of multimodal therapy. However, some of those modalities have been lacking thorough randomized assessment, and there is a conflicting evidence available. It is hypothesized that pain...

    journal_title:Pain research & management

    pub_type: 杂志文章,随机对照试验

    doi:10.1155/2019/7954291

    authors: Dalewski B,Kamińska A,Szydłowski M,Kozak M,Sobolewska E

    更新日期:2019-03-11 00:00:00

  • Efficacy of Preoperative Administration of Paracetamol-Codeine on Pain following Impacted Mandibular Third Molar Surgery: A Randomized, Split-Mouth, Placebo-Controlled, Double-Blind Clinical Trial.

    abstract::Objectives. The aim of this study was to determine the effectiveness of preoperative administration of single-dose of paracetamol-codeine, in the relieving of acute postoperative pain after the surgical removal of an impacted mandibular third molar. Materials and Methods. The study cohort consisted of 32 Caucasian out...

    journal_title:Pain research & management

    pub_type: 杂志文章,随机对照试验

    doi:10.1155/2017/9246352

    authors: Cristalli MP,La Monaca G,De Angelis C,Pranno N,Annibali S

    更新日期:2017-01-01 00:00:00

  • Adolescents' pain coping profiles: expectations for treatment, functional outcomes and adherence to psychological treatment recommendations.

    abstract:OBJECTIVES:To explore how adolescents' pain coping profiles relate to their expectations regarding psychological treatment recommendations, and to examine patients' functioning and engagement in psychological treatment three months following a multidisciplinary pain clinic evaluation. METHODS:Adolescents and their par...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2011/652853

    authors: Claar RL,Simons LE

    更新日期:2011-05-01 00:00:00

  • Systematic Administration of B Vitamins Alleviates Diabetic Pain and Inhibits Associated Expression of P2X3 and TRPV1 in Dorsal Root Ganglion Neurons and Proinflammatory Cytokines in Spinal Cord in Rats.

    abstract:Background:Treatment of diabetic neuropathic pain (DNP) continues to be a major challenge, and underlying mechanisms of DNP remain elusive. We investigated treatment effects of B vitamins on DPN- and DNP-associated alterations of neurochemical signaling in the nociceptive dorsal root ganglion (DRG) neurons and the spin...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2020/3740162

    authors: He DD,Gao Y,Wang S,Xie Z,Song XJ

    更新日期:2020-02-10 00:00:00

  • Pharmacological management of chronic neuropathic pain - consensus statement and guidelines from the Canadian Pain Society.

    abstract::Neuropathic pain (NeP), generated by disorders of the peripheral and central nervous system, can be particularly severe and disabling. Prevalence estimates indicate that 2% to 3% of the population in the developed world suffer from NeP, which suggests that up to one million Canadians have this disabling condition. Evi...

    journal_title:Pain research & management

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1155/2007/730785

    authors: Moulin DE,Clark AJ,Gilron I,Ware MA,Watson CP,Sessle BJ,Coderre T,Morley-Forster PK,Stinson J,Boulanger A,Peng P,Finley GA,Taenzer P,Squire P,Dion D,Cholkan A,Gilani A,Gordon A,Henry J,Jovey R,Lynch M,Mailis-Gag

    更新日期:2007-04-01 00:00:00

  • A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 4 - noninvasive interventions for chronic WAD.

    abstract::Whiplash-associated disorder (WAD) represents a significant public health problem, resulting in substantial social and economic costs throughout the industrialized world. While many treatments have been advocated for patients with WAD, scientific evidence supporting their effectiveness is often lacking. A systematic r...

    journal_title:Pain research & management

    pub_type: 杂志文章,评审

    doi:10.1155/2010/487279

    authors: Teasell RW,McClure JA,Walton D,Pretty J,Salter K,Meyer M,Sequeira K,Death B

    更新日期:2010-09-01 00:00:00

  • Effects of smoke exposure and other lifestyle factors on pain response to electrical stimulation in women.

    abstract:BACKGROUND:A relationship between smoking and development of pain syndromes has been suggested in the literature. The present study examined associations between smoke exposure and other related variables, and pain response to suprathreshold electrical stimulation. METHODS:Subjects were prospectively recruited from a ...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2008/240573

    authors: Wee JY,Hopman WM

    更新日期:2008-05-01 00:00:00

  • Role of Oxycodone Hydrochloride in Treating Radiotherapy-Related Pain.

    abstract::Radiotherapy is commonly used to treat cancer patients. Besides the curable effect, radiotherapy also could relieve the pain of cancer patients. However, cancer pain is gradually alleviated about two weeks after radiotherapy. In addition, cancer patients who receive radiotherapy may also suffer from pain flare or radi...

    journal_title:Pain research & management

    pub_type: 杂志文章,评审

    doi:10.1155/2020/7565962

    authors: Wang Y,Xing L

    更新日期:2020-01-30 00:00:00

  • Effects of Exercise Training Combined with Increased Physical Activity to Prevent Chronic Pain in Community-Dwelling Older Adults: A Preliminary Randomized Controlled Trial.

    abstract:Objective:With the aim of developing a chronic pain prevention program, this randomized controlled trial examined whether exercise training combined with increased physical activity more effectively improves pain and physical activity than exercise training alone in community-dwelling older adults without chronic pain....

    journal_title:Pain research & management

    pub_type: 杂志文章,随机对照试验

    doi:10.1155/2018/2132039

    authors: Hirase T,Kataoka H,Inokuchi S,Nakano J,Sakamoto J,Okita M

    更新日期:2018-04-05 00:00:00

  • Physician-to-physician telephone consultations for chronic pain patients: A pragmatic randomized trial.

    abstract:BACKGROUND:The impact of telephone consultations between pain specialists and primary care physicians regarding the care of patients with chronic pain is unknown. OBJECTIVES:To evaluate the impact of telephone consultations between pain specialists and primary care physicians regarding the care of patients with chroni...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2015/345432

    authors: Clark AJ,Taenzer P,Drummond N,Spanswick CC,Montgomery LS,Findlay T,Pereira JX,Williamson T,Palacios-Derflingher L,Braun T

    更新日期:2015-11-01 00:00:00

  • Alexithymia and fear of pain independently predict heat pain intensity ratings among undergraduate university students.

    abstract:BACKGROUND:Alexithymia is a disturbance in awareness and cognitive processing of affect that is associated with over-reporting of physical symptoms, including pain. The relationship between alexithymia and other psychological constructs that are often associated with pain has yet to be evaluated. OBJECTIVES:The presen...

    journal_title:Pain research & management

    pub_type: 杂志文章

    doi:10.1155/2009/468321

    authors: Katz J,Martin AL,Pagé MG,Calleri V

    更新日期:2009-07-01 00:00:00

  • Mechanisms of "Cough-Trick" for Pain Relief during Venipuncture: An Experimental Crossover Investigation in Healthy Volunteers.

    abstract:Objectives:The easily performed "cough-trick" (CT) reduces pain during venipuncture (VP), although the underlying mechanism remains unclear. The aim was to investigate the pain-reducing effect of CT during VP in comparison with two distraction methods, as well as under the influence of naloxone. Methods:54 healthy mal...

    journal_title:Pain research & management

    pub_type: 临床试验,杂志文章

    doi:10.1155/2019/9459103

    authors: Usichenko TI,Janner H,Gagarine M,Pavlovic D,Lang E,Hahnenkamp K

    更新日期:2019-12-12 00:00:00

  • Comparison between Collagen and Lidocaine Intramuscular Injections in Terms of Their Efficiency in Decreasing Myofascial Pain within Masseter Muscles: A Randomized, Single-Blind Controlled Trial.

    abstract:Background and Objective:A novel option for myofascial pain (MFP) management and muscle regeneration is intramuscular collagen injections. The aim of the study was to evaluate the efficiency of intramuscular injections of collagen and lidocaine in decreasing MFP within masseter muscles. Methods:Myofascial pain within ...

    journal_title:Pain research & management

    pub_type: 杂志文章,随机对照试验

    doi:10.1155/2018/8261090

    authors: Nitecka-Buchta A,Walczynska-Dragon K,Batko-Kapustecka J,Wieckiewicz M

    更新日期:2018-06-03 00:00:00